Asbestos

Name	Revised	Format	Number
Nontransient Noncommunity Water System Asbestos Waiver	N/A	Pdf	N/A

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Capacity Development

Name	Revised	Format	Number
Financial Declaration Form for New Non-Transient Non-Community Public Water Systems	8/2010	Pdf	n/a
Two-Part Pump Test Form for New Non-Transient Non-Community Public Water Systems	8/2010	Pdf	n/a
Technical Manual for Determining Reliable Yield for Nontransient Noncommunity Public Water Systems	N/A	Pdf	n/a
Technical, Managerial, & Financial Capacity of New Public Community Water Systems	N/A	Pdf	BSDW-PA 18
Technical, Managerial, & Financial Capacity of New Public Non-Community Water Systems	N/A	Pdf	BSDW-PA 19

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Child Care Center Drinking Water Certification

Name	Revised	Format	Number
Checklist for Completing the Child Care Center Safe Drinking Water Requirements	n/a	pdf	n/a

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Consumer Confidence Report

Name	Revised	Format	Number
2010 CCR Certification Form	3/2010	Pdf	N/A

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Ground Water Rule

Name	Revised	Format	Number
Drinking Water Analysis - Ground Water Rule Source Water Samples Summary Report Form	N/A	Pdf	BSDW 99
Drinking Water Analysis - Ground Water Rule Assessment Monitoring Report Form	N/A	Pdf	BSDW 100
Ground Water Rule Disinfectant Residual Compliance Monitoring Reporting Form	N/A	Excel	BSDW 101

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Inspections

Name	Revised	Format	Number
Nontransient Noncommunity Water System Inspection Report	N/A	Pdf Format	N/A
Transient Noncommunity Water System Inspection Report	N/A	Pdf Format	N/A
Deactivation Certification for Non-Community Public Water Systems	N/A	Word Format	N/A

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N.J. Well Vulnerability Questionnaire (SOC)

Name	Revised	Format	Number
Vulnerability Questionnaire	N/A	Pdf Format	N/A
Vulnerability Questionnaire Attachments	N/A	Pdf Format	N/A

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Operator Certification

Name	Revised	Format	Number
Examination Application for License to Operate	9/2008	Pdf Format	ADM-035
Statement of Qualifications	9/2008	Pdf Format	ADM 035A
Examination Application for License to Operate a Very Small Water System	N/A	Pdf Format	ADM-368A
Statement of Qualifications	N/A	Pdf Format	ADM-368B
Licensed Operator in Charge of Employment Notification	N/A	Pdf Format	DEP-065

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Physical Connection

Name	Revised	Format	Number
Cancellation of Physical Connection Permit or Elimination of Valves from Permit	12/2007	Pdf Format	BWSWP-PCR
Application Form for Initial Physical Connection Permit	5/2007	Pdf Format	PCI-145
Initial Physical Connection Test & Maintenance Report	9/2007	Pdf Format	1PCTMR
Physical Connection Permit - Renewal	5/2003	Pdf Format	PCR-076
Quarterly Physical Connection Test & Maintenance Report	9/2007	Pdf Format	QPCTMR

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State Revolving Fund

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Water Allocation Applications

Name	Revised	Format	Number
Water Allocation Permit Application for New or Major Modifications	12/2008	Pdf Format	BWA-001A
Water Allocation Permit Application for Renewals	N/A	Pdf Format	BWA-001B
Water Allocation Permit Application Checklist for Administrative Completeness	N/A	Pdf Format	N/A
Temporary Dewatering Application	12/2008	Pdf Format	BWA-002
Short Term Water Use Permit-By-Rule	N/A	Pdf Format	BWA-003
Short Term Water Use Report	N/A	Pdf Format	BWA-004
Dewatering Permit-By-Rule	N/A	Pdf Format	BWA-005
Contract Approval Application	N/A	Pdf Format	BWA-006
Site Location and Property Information Form	N/A	Pdf Format	BWA-009
C.E.R.C.L.A. Permit Equivalency Application	N/A	Pdf Format	BWA-010
Agricultural Water Usage Certification Application	N/A	Pdf Format	AGC-001
Agricultural Water Use Registration	N/A	Pdf Format	AGR-002
Water Use Registration Application	12/2008	Pdf Format	DWR-188
Highlands Water Allocation Application - New or Major Modifications	N/A	Pdf Format	BWA-001HL
Highlands Water Use Registration Application	N/A	Pdf Format	DWR-188HL

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Water Conservation Plan and (Non-Gubernatorial Declaration) Drought or Water Supply Emergency Management Plan

Name	Revised	Format	Number
Golf Courses/Irrigation	N/A	Pdf	N/A
Large Volume Users	N/A	Pdf	N/A
Public Water Supply Systems	N/A	Pdf	N/A

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Water System Compliance

Name	Revised	Format	Number
Drinking Water Analysis - Volatile Organics	N/A	Pdf	BSDW - 02A
Pesticides, Herbicides, & Other Organics	N/A	Pdf	BSDW-04
Drinking Water Analysis - Secondary	N/A	Pdf	BSDW-05
Instructions for Drinking Water Analysis-Secondary	N/A	Pdf	BSDW-05N
Drinking Water Analysis - Inorganic	N/A	Pdf	BSDW-05
Iron & Manganese Input Form	N/A	Pdf	BSDW-06
Lead Analysis Input Form	N/A	Pdf	BSDW-12
Copper Analysis Input Form	N/A	Pdf	BSDW-12
QC Data for Hazardous Contaminant Analysis	N/A	Pdf	BSDW-15
Disinfection Byproduct Precursor Compliance Report	N/A	Excel	BSDW-20
Instructions for Step One TOC Removal Requirements	N/A	Pdf	BSDW-20N
Disinfection Byproduct Precursor Compliance Report Continuation Sheet	N/A	Excel	BSDW-21
IESWTR Turbidity Report	N/A	Excel	BSDW-22
Instructions for IESWTR Turbidity Report	N/A	Pdf	BSDW-22N
Individual Filter Exception Report	N/A	Excel	BSDW-23
Individual Filter Assessment Report	N/A	Pdf	BSDW-24
Disinfectant Residuals Reporting Form	N/A	Excel	BSDW-25
Instruction for Disinfectant Residuals Reporting Form	2/2009	Pdf	BSDW-25N
Chlorite & Chlorine Dioxide Report	N/A	Excel	BSDW-26
Instructions for Chlorite & Chlorine Dioxide Report	N/A	Pdf	BSDW-26N
Quarterly Total Trihalomethane (THM4) Report	N/A	Excel	BSDW-27
Instructions for Quarterly Total Trihalomethane (THM4) Report	N/A	Pdf	BSDW-27N
Quarterly Haloacetic Acid Five Report	N/A	Excel	BSDW-28
Instructions for Quarterly Haloacetic Acid Five Report	N/A	Pdf	BSDW-28N
Monthly Operators Report for Ground Water Systems	N/A	Excel	BSDW-40
Monthly Operating Report for Surface Water Treatment Plant/GWUDISW	N/A	Excel	BSDW-41
Drinking Water Analysis - Monthly Coliform Summary Report Form - Coliform form for water systems normally reporting 6 or more per month	N/A	Word	BSDW-50
Instructions for Monthly Coliform Summary Report Form	N/A	Pdf	BSDW-50N
Drinking Water Analysis - Coliform Samples Report Form - Coliform form for all water systems	N/A	Word	BSDW-51
Instructions for Coliform Samples Report Form	N/A	Pdf	BSDW-51N
Nitrate/Nitrite Analysis Input Form	N/A	Word	BSDW-52
Instructions & Examples for the Nitrate/Nitrite Report Form	N/A	Pdf	BSDW-52N
Public Notification Certification Form - Tiers 1, 2 & 3	N/A	Pdf	BSDW 53
Certification Form - Consumer Notice of Lead Tap Water Monitoring Results	N/A	Pdf	BSDW 54
Public Education Certification Form - Lead Action Level Exceedance	2/2010	Pdf	BSDW 55
Lead and Copper Sample Site Change Form	N/A	Pdf	BSDW 56
Drinking Water Analysis - Ground Water Rule Source Water Samples Summary Report Form	N/A	Pdf	BSDW 99
Drinking Water Analysis - Ground Water Rule Assessment Monitoring Report Form	N/A	Pdf	BSDW 100
Ground Water Rule Disinfectant Residual Compliance Monitoring Reporting Form	N/A	Excel	BSDW 101
Radionuclide Report Form	N/A	Pdf	DWR 085
Water Quality Parameters Analysis Input Form (Lead & Copper Rule)	N/A	Pdf	WTP 303
DWR BSDW Drinking Water Analysis - Asbestos	N/A	Pdf	WSE 014

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Water System Construction Permits

Name	Revised	Format	Number
Permit Extension of Time Request	3/2007	Pdf	N/A
Complete Standard Permit Application Form	2/2009	Pdf	N/A
Checklist for Administrative Completeness - Permit Application to Construct/Modify/Operate Public Water Works Facilities	1/2007	Pdf	PA-05
Firm Capacity & Water Allocation Analysis	6/2006	Pdf	PA-05E
General Requirements	12/1998	Pdf	PA-06
Wells - Technical Review Form	12/1998	Pdf	PA-07
Surface Water Supplies - Technical Review Form	1/1999	Pdf	PA-08
Surface Water Treatment Rule - Technical Review Form	12/2002	Pdf	PA-08A
Pump Stations - Technical Review Form	1/1999	Pdf	PA-09
Distribution Systems - Technical Review Form	10/2007	Pdf	PA-10
Master Permit for Main Construction	8/2003	Pdf	PA-10A
Simplified Water Main Extension Certification Form	5/2005	Pdf	PA-10B
Checklist for Determination of Permit Requirements for Water Main Construction	8/2003	Pdf	PA-10DET
Distribution Storage - Technical Review Form	1/1999	Pdf	PA-11
Chemical Handling & Feeding - Technical Review Form	1/1999	Pdf	PA-12
Pretreatment - Technical Review Form	1/1999	Pdf	PA-13
Filtration -Technical Review Form	1/1999	Pdf	PA-14
Aeration - Technical Review Form	1/1999	Pdf	PA-15A
Fluoridation - Technical Review Form	1/1999	Pdf	PA-15F
Packed Column Aeration - Technical Review Form	1/1999	Pdf	PA-15G
Granular Activated Carbon Contractors - Technical Review Form	1/1999	Pdf	PA-15H
Chlorination - Technical Review Form	1/1999	Pdf	PA-16
Ozone Generation & Feeding - Technical Review Form	7/1999	Pdf	PA-17

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Ground Water Under the Direct Influence

Name	Revised	Format	Number
Checklist for the Determination of Ground Water Status	3/1993	Pdf Format	N/A

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Ground Water Rule

Name	Revised	Format	Number
Existing 4-log Virus Treatment Under the Ground Water Rule	7/2009	Pdf Format	N/A
Representative Source Water Monitoring Plan Summary Sheet	6/2009	Pdf Format	N/A
Representative Source Water Monitoring Plan Certification	6/2009	Pdf Format	N/A

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Well Permitting

Licensing

Name	Revised	Format	Number
Master Well Driller	3/2007	Pdf Format	N/A
Journeyman/Journeyman B Well Driller	3/2007	Pdf Format	N/A
Monitoring Well Driller	3/2007	Pdf Format	N/A
Soil Borer	3/2007	Pdf Format	N/A
Dewatering Well Driller	3/2007	Pdf Format	N/A
Pump Installer	3/2007	Pdf Format	N/A

Well Search

Name	Revised	Format	Number
Individual Well Search Questionnaire	3/2007	Word Format	N/A
Individual Well Search Procedure	12/2008	Pdf Format	N/A
Radius Well Search Procedure	2/2002	Pdf Format	N/A
Radius Well Search Form	4/2007	Pdf Format	N/A

Well Construction/Decommissioning

Name	Revised	Format	Number
Well Abandonment Report Form	12/2008	Word Format	N/A
Well Permit Cancellation Form	5/2006	Pdf Format	N/A
Blanket 2” Well Decommissioning Approval Form	2/2007	Pdf Format	N/A
Blanket 2” Well Decommissioning Cover Letter	5/2005	Pdf Format	N/A
Well Construction Deviation Form	2/2007	Pdf Format	N/A

Well Drilling Licensing Form

Name	Revised	Format	Number
Well Driller License Address Update Form	4/2008	Pdf Format	N/A

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